Provider Demographics
NPI:1528765492
Name:SANDERS, SONYA L
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:L
Last Name:SANDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 BLUEBELL CT
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45315-7729
Mailing Address - Country:US
Mailing Address - Phone:513-319-5949
Mailing Address - Fax:
Practice Address - Street 1:407 BLUEBELL CT
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45315-7729
Practice Address - Country:US
Practice Address - Phone:513-319-5949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker